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1033683529
WILLIAM KELLY BLACKBURN
KENT, WA
NPI
1033683529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60751082)
Enumeration Date
2019-01-17
Last Update Date
2019-01-17
Business Address
WILLIAM KELLY BLACKBURN Massage Therapy
24620 RUSSELL RD APT D102
KENT, WA 98032-4745
Phone number: 941-276-5651
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Mailing Address
WILLIAM KELLY BLACKBURN Massage Therapy
680 NW GILMAN BLVD STE A
ISSAQUAH, WA 98027-2454
Phone number: 941-276-5651
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